Welcome to the UT Austin Dell Medical School Pediatric Residency Program. Our program provides extensive pediatric training that prepares graduates for both primary and subspecialty pediatric fields. Residents will leave prepared to provide pediatric care in many situations, from providing anticipatory guidance in health supervision visits to managing patients with critical conditions. The program’s curriculum emphasizes the achievement of skills and competencies needed to provide comprehensive care to children, ranging from health supervision to complex, critical conditions. Under the direct supervision of the faculty, residents develop their clinical skills with an increasing level of practice autonomy. The program includes 18 residents per year and two 4th Year Chiefs.
On June 30th, 2007, the program made an exciting transition to our new facility, Dell Children’s Medical Center of Central Texas, a member of the Seton Healthcare Family. Dell Children’s is the only free-standing hospital in Central Texas exclusively dedicated to the care of children and serves as a regional care center for a 46-county service area. Residents play a vital role in Dell Children’s mission to be a center of excellence for the children of Central Texas.
On January 1, 2015, the residency program transitioned its affiliation to The Dell Medical School at The University of Texas at Austin, the first medical school in decades to be built from the ground up at a Tier 1 research university. The School expects to welcome its first students in the summer of 2016. The inaugural Chair of the Department of Pediatrics, Dr. Steven Abrams, a renowned physician and researcher, joined the Dell Medical School in April, 2015.
Welcome from Dr. Lynn Campbell, Program Director
On behalf of all the faculty, residents, and staff in Austin, I am pleased to welcome you to the website of the UT Austin Dell Medical School Pediatric Residency Program at the Dell Children's Medical Center of Central Texas. We are excited about your interest in our residency program, and I invite you to learn more about us.
Our program has been training pediatric residents and providing services to the children of Austin and Central Texas for almost 35 years. From its humble beginnings on a small pediatric ward in Austin's municipal hospital in 1973, the program has grown and evolved to be an integral part of the regional tertiary care center for Austin and Central Texas. The teaching staff includes pediatric hospitalists, ambulatory pediatricians, and an impressive array of pediatric subspecialists and pediatric subspecialty surgeons. They are dedicated to preparing pediatric residents to become strong general pediatricians or subspecialty fellows, according to individuals' interests. Our residents work directly with the faculty, including the subspecialists, to provide outstanding patient care to children. At the Dell Children's Medical Center, all major areas of pediatric subspecialty are represented. Residents are encouraged to pursue their passion in medicine – whether in general pediatrics or pediatric subspecialty.
The program's primary teaching facility is the Dell Children's Medical Center of Central Texas. This new state of the art, free-standing children's hospital opened its doors on June 30, 2007. In addition to the Medical Center, the Dell Campus includes a separate pediatric subspecialty clinic building, the new $100 million University of Texas Pediatric Research Institute, and the Ronald McDonald House.
While not working in the hospital or the clinics, our residents can enjoy everything the fabulous city of Austin has to offer. From its hike and bike trails and numerous lakes and parks to the live music scene and great restaurants, Austin is a fun, dynamic city that is perfect for the young professional or growing family. Many of our residents have chosen to stay in Austin to practice after completing residency. Others have returned after completing subspecialty training.
Choosing a residency is an important and exciting time. We encourage you to visit us and experience our program first-hand. Good luck and I look forward to meeting you.
Overall Goals and Objectives:
The primary goal of the UT Austin Dell Medical School Pediatric Residency Program is to achieve and maintain excellence in the education and training of pediatricians, by creating a competency-based educational experience which balances supervision and autonomy and core and individualized curriculum. The program strives to maintain a setting of mutual respect between learners, educators, and patients and commits to the principles of professionalism in all educational settings and activities. The program training experience is designed to promote the acquisition of knowledge, skills, and attitudes needed to practice general pediatrics or prepare graduates for further subspecialty training.
- Patient Care: Provide compassionate patient care that is family-centered, developmentally appropriate, and effective for the treatment of health problems and promotion of health.
- Medical Knowledge: Demonstrate knowledge of established and evolving biomedical, clinical, epidemiologic, and social-behavioral sciences and the application of this knowledge to patient care and the education of others
- Practice-Based Learning and Improvement: Investigate and evaluate patient care practices with a commitment to self-evaluation and life-long learning as well as an ability to appraise and assimilate scientific evidence, with a focus on improving patient care practices
- Interpersonal and Communication Skills: Achieve skills resulting in effective exchange of information with patients, families, and other health professionals
- Professionalism: Commit to carrying out professional responsibilities and adhere to ethical principles, while maintaining a sensitivity to a diverse patient population
- System-Based Practice: Demonstrate an awareness and responsiveness to the system of health care, with an ability to access resources to provide care of optimal value
Competency: Gather essential and accurate information about the patient.
- Performs a complete history and physical exam, with appreciation and adjustment for developmental level/age, chief complaint/level of illness, and language or social barriers
- Demonstrates the ability to collect information from patients/families and adjunctive sources (computer, outside medical records, clinical staff)
- Evaluate and supervise the collection of medical information and seek to fill in gaps, redirect questioning, or further evaluate physical exam findings to appropriately manage patient care (Senior Level)
Competency: Organize and prioritize responsibilities to provide patient care that is safe, effective, and efficient
- Prioritizes patient care responsibilities by level of severity and urgency
- Anticipates patient care needs to prevent interruptions
- Leads a team in prioritizing care, planning for clinical change, and eliminating interruptions (Senior Level)
Competency: Provide transfer of care that insures seamless transitions
- Participates and expects patient handovers for every clinical service that efficiently provide accurate information and facilitate care by a covering resident physician
Competency: Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment
- Formulates and prioritizes a differential diagnosis based on clinical history/exam, current scientific evidence and guidelines, and clinical judgment
- Utilizes and interprets laboratory and imaging studies appropriately
- Requests and interprets subspecialty consultation appropriately
- Develops and organizes differential diagnoses based on pattern recognition (Senior Level)
Competency: Develop and carry out management plans
- Develops and completes management plans appropriate for the clinical diagnosis, incorporating known clinical guidelines and facility policies, as well as patient/family directives
- Provides adequate counseling and education to patients/families, including written plans when needed, to ensure appropriate home care and follow-up
- Performs all medical procedures as indicated and obtains informed consent
- Provides effective health care maintenance and anticipatory guidance
Competency: Locate, appraise, and assimilate evidence from scientific studies related to patients’ health problems
- Identifies and appropriately utilizes current medical research and clinical care guidelines for care of patients
- Attends didactic sessions related to evidence-based medicine and medical journal review
- Leads discussions or didactic sessions related to evidence-based medicine (Senior Level)
Competency: Demonstrate sufficient knowledge of the basic and clinically supportive sciences appropriate to pediatrics
- Understands and applies basic medical knowledge in patient care
- Maintains appropriate attendance at didactic sessions
Competency: Demonstrate ability to successfully pass appropriate licensing and certification examinations
Completes Step III licensing examination
Achieves and maintains an In-Training Examination score (ITE) required for level of training per program policy
PRACTICE-BASED LEARNING AND IMPROVEMENT
Competency: Identify strengths, deficiencies, and limits to one’s knowledge and expertise
- Utilizes evaluations of performance provided by peers, faculty and patients to improve performance
- Develops appropriate habits to facilitate life-long learning, with consistent study plans, reading, and utilization of information technology
Competency: Identify and perform appropriate learning activities to guide personal and professional development
- Develops an Individualized Learning Plan (ILP) to facilitate practice improvement
- Utilizes individualized tracks to complete experiences that are beneficial to future career plans
- Actively participates in the education of patients/families, students and other health professionals
Competency: Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement
- Participates in the development and completion of a quality improvement project
Competency: Incorporate formative evaluation feedback into daily practice
- Meets with faculty advisor consistently to review performance
- Uses information from semi-annual performance review to inform lifelong learning habits and adjust clinical performance
- Seeks feedback from rotation supervisors
- Requests and incorporates feedback from students/residents about supervisory practices (Senior Level)
Competency: Take primary responsibility for lifelong learning and professional development by self-directed assessment and completion of responsibilities for medical training and licensing, including all documentation
- Initiates completion of documentation required for medical training
INTERPERSONAL AND COMMUNICATION SKILLS
Competency: Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and cultural backgrounds
- Identifies self and other members of the health care team and appropriately explains the role of each member to the patient/family
- Demonstrates the ability to maintain a therapeutic relationship with patients/family over time
- Recognizes barriers to communication and mitigates barriers when possible, with appropriate attention to language and developmental level
- Facilitates, reflects, clarifies and interprets at appropriate times in the patient encounter with attention to effective listening skills and appropriate redirection of the conversation when appropriate
- Maintains comprehensive, timely and legible medical records
Competency: Demonstrate the insight and understanding into emotion and human response to emotion that allows one to appropriately develop and manage human interactionsKnowledge/Skill/Attitude Benchmarks:
- Recognizes others’ emotions/body language in conversation and appropriately redirect the conversation, when necessary
- Anticipates one’s own emotional response to situations and moderates behavior appropriately
Competency: Work effectively as a member or leader of a health care team
- Communicates effectively and respectfully with other members of the health care team
- Facilitates team communication with patient/family and clinical staff in the role of team leader (Senior Level)
- Functions in a consultant role and appropriately communicates recommendations, when appropriate (Senior Level)
Competency: Humanism, compassion, integrity, and respect for others based on the characteristics of an empathetic practitioner
- Practices altruism and advocacy by displaying an unselfish regard for the welfare of patients/families
- Displays compassion and empathy by listening attentively and responding humanely to concerns of patients/families
Competency: A sense of duty and accountability to patients, society and the profession
- Identifies and accepts the responsibility of the physician within the health care setting and in the community/society
Competency: High standards of ethical behavior which includes maintaining appropriate professional boundaries
- Demonstrates reliability and honors commitments to assigned duties/tasks
- Maintains confidentiality of patient information in verbal and written form, including electronic and social media communications
Competency: Self-awareness of one’s one knowledge, skill, and emotional limitations that leads to appropriate help-seeking behaviors
- Strives for self-improvement to provide the highest quality care through appropriate requests for assistance and constructive feedback
Competency: Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients
- Reliably completes clinical care tasks, communicates care plans and clinical changes, and is available to answer questions of teammates, clinical staff, and patients/families
- Arrives for assigned duties and shows a pattern of consistency in completing duties
Competency: The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty
- Balances discussions with significant uncertainty with appropriate dissemination of information and a focus on the patient/family goals of treatment
Competency: Coordinate patient care within the health care system
- Accepts responsibility for assisting patients/families in the navigation of the complex health care system
- Provides accurate and timely communication to assist with transitions in care
Competency: Advocate for quality patient care and optimal patient care systems
- Practices cost-effective health care and resource allocation that does not compromise quality of care
- Advocates for the promotion of health and prevention of disease and injury in populations
- Advocates for individual patient care, but also recognizes and seeks to change areas of quality improvement in the system
Competency: Work in inter-professional teams to enhance patient safety and improve patient care quality
- Collaborates with health care managers and health care providers to assess, coordinate, and improve patient care
- Acknowledges medical errors and participates in developing systems to prevent them
- Provide leadership that enhances team functioning, the learning environment or health care system with the ultimate intent of improving care of patients (Senior Level)
- Dell Children's Medical Center of Central Texas, our primary clinical site, is a free-standing children's hospital with multi-specialty inpatient and outpatient services and state-of-the-art resources. The 218-bed hospital currently serves as a regional care center for a 46-county service area.
- Seton Medical Center Austin (SMCA) serves as the primary site for our Neonatal and Perinatal Medicine rotations. With one of the busiest delivery services in the Austin area, the site features a 45-bed Level III NICU and is also the newborn nursery training site for the residents.
- East Austin Health Center is part of the CommUnity Care health system and serves as our primary ambulatory site and as one of our resident continuity clinic sites. As a "Federally Qualified Health Center", this clinic provides care to the underserved population of Travis County providing comprehensive healthcare including such services as nutrition, WIC, and behavioral health counseling.
- People's Community Clinic is a unique Austin institution and one of the oldest continually-running independent clinics for primary care in America. It provides comprehensive healthcare for the medically underserved and uninsured in addition to serving as our main site for our Adolescent Health rotation.